Emergency Surgery in a Regional Hospital Before and During the COVID 19 Pandemic

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Abstract

Background In extraordinary situations the volume of work of all hospital services changes. The impact of the global COVID 19 pandemic, is classified as an international emergency situation. But, we do not know How did one regional hospital in Bosnia and Herzegovina cope with the COVID-19 pandemic in line with its capacities in terms of emergency surgery. Materials and Methods We used data from our surgical protocols – emergency surgery performed in our department during July and August in 2019 and 2020. We used descriptive statistics. Results: The total number of examinations in the emergency surgical clinic was almost the same. The number of admissions in the period in question in 2020 was 36% lower in relation to the control period. The total number of operations was 17% lower. The number of emergency operations was 39.3% lower. Conclusion: it may be said that emergency surgery functioned on a satisfactory level in our regional hospital, and that the results do not deviate significantly from data from the literature, except regarding emergency amputations and emergency surgery for malignant colorectal stenosis.
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COVID - 19大流行之前和期间地区医院的急诊手术
背景:在特殊情况下,所有医院服务的工作量都会发生变化。受2019冠状病毒病(COVID - 19)全球大流行影响,被列为国际紧急情况。但是,我们不知道波斯尼亚和黑塞哥维那的一家区域医院如何在符合其急诊手术能力的情况下应对COVID-19大流行。材料和方法我们使用的数据来自我们的外科方案- 2019年7月和2020年8月在我科进行的急诊手术。我们使用描述性统计。结果:急诊外科门诊检查次数基本相同。与对照期相比,2020年同期的入学人数减少了36%。手术总数减少了17%。紧急行动次数下降39.3%。结论:我们地区医院急诊手术的效果是令人满意的,除了急诊截肢和恶性结直肠狭窄的急诊手术外,结果与文献数据没有明显偏差。
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